Study: Could a Bladder Sling Move? All About Erosion and Management Bladder slings are used widely across the market in treating stress urinary incontinence, yet it is possible for these instruments to loosen up or have a problem of an erosion. Typically, this is ascribed to an unperforated during surgery than is material degrad-ation. The traction of surrounding tissues to sling material causes erosions, sometimes resulting in devastating complications.
Types of Complications
Mesh Erosion: This is the issue when sling material cuts into vaginal or bladder tissues and makes pain. It may cause symptoms, including painful urination and dyspareunia (painful intercourse) , urinary frequency11 but also lower tract urine infection13
Perforation: The instruments used in surgery can perforate the bladder or other organs, with potential complications that may require additional surgical therapies24.
Repeat Incontinence: When an anti-incontinence sling is too loose, or if it slips out of place over time post-operatively (a rare event), support may be inadequate and stress urine leakage can reoccur56.
Management Approaches
There are several ways in which bladder erosion can be managed.
Endoscopic Techniques-This involves minimal invasion to visualize and treat the area of concern.
Laparoscopic Surgery: Small incisions are made in this type of surgery and is usually preferred due to the decreased recovery time as compared to its counterpart open surgery.
Open Surgery: In cases of more severe stress incontinence, traditional open surgery to remove or repair the sling 13.
Conclusion
Though bladder slings are effective overall in treating urinary incontinence, it is important for women to be aware that such procedures may carry risks of erosion and perforation. Regular follow-up visits with healthcare providers will ensure that any developing issues are caught early and can be treated quickly.bladder sling (ad) Seek urgent medical care if warning signs of erosion develop.
